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MICHAEL ITIDIARE, D.O., M.B.S

D.O., M.B.S

Gastroenterology Physician

NPI: 1316388556IndividualAccepts Medicare

Specialties, Licenses & Credentials

Gastroenterology PhysicianPrimary

Internal Medicine — Gastroenterology

Code: 207RG0100X

25MB10130600(NJ)6450(TN)0102208235(VA)
Internal Medicine Physician

Internal Medicine

Code: 207R00000X

6450(TN)0102208235(VA)

CMS Specialties

PrimaryGASTROENTEROLOGY

Education

OTHER

Class of 2013

Contact & Hours

Via practice · 4 locations total

Address
100 K JOHNSON BLVD FL 2
BORDENTOWN, NJ 08505

Locations (4)

Practice Location

100 K JOHNSON BLVD FL 2, BORDENTOWN, NJ
(609) 528-8884

Practice Location

1 MEDICAL PARK BLVD, BRISTOL, TN
(423) 844-1121

Practice Location

1445 WHITEHORSE MERCERVILLE RD STE 108, HAMILTON, NJ
(609) 528-8884

Practice Location

130 W RAVINE RD, KINGSPORT, TN
(423) 224-4000

Quick Facts

NPI
1316388556
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
5
Locations
4
Years in Practice
13

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